Question 1

CMS identifies one private organization in each state to review the provision of health care services and to respond to complaints. These organizations are called:

Accepted Answer

A)  Quality Improvement Organizations (QIO). 
B)  Healthcare Quality Indicators (HQI). 
C)  Healthy People 2020. 
D)  Total Quality Management (TQM). 
A)  Quality Improvement Organizations (QIO). 
B)  Healthcare Quality Indicators (HQI). 
C)  Healthy People 2020. 
D)  Total Quality Management (TQM). A

Question 2

A claim that a physician is board-certified should be confirmed with the:

Accepted Answer

A)  American Board of Medical Specialties. 
B)  National Medical Specialists Association. 
C)  American Medical Association. 
D)  National Quality Measures Clearinghouse. 
A)  American Board of Medical Specialties. 
B)  National Medical Specialists Association. 
C)  American Medical Association. 
D)  National Quality Measures Clearinghouse. A

Question 3

Internal audits can improve the quality of care provided in your facility by:

Accepted Answer

A)  Finding reasons to fire employees. 
B)  Providing feedback, including physician performance evaluations. 
C)  Supporting implementation of salary reductions. 
D)  They do not improve the quality of care at all. 
A)  Finding reasons to fire employees. 
B)  Providing feedback, including physician performance evaluations. 
C)  Supporting implementation of salary reductions. 
D)  They do not improve the quality of care at all. B

Question 4

A type of process that reduces the probability of adverse events is known as:

Accepted Answer

A)  Evidenced-based quality. 
B)  Evidence-informed care management. 
C)  Do/Do Not Do/Don't Know 
D)  Patient safety practice. 
A)  Evidenced-based quality. 
B)  Evidence-informed care management. 
C)  Do/Do Not Do/Don't Know 
D)  Patient safety practice.

Question 5

Nosocomial conditions, also known as ________, are those illnesses and injuries that affect a patient as a direct result of the patient's stay in the hospital.

Accepted Answer

A)  genetic anomalies 
B)  hospital-acquired conditions 
C)  staph infections 
D)  medical misadventures 
A)  genetic anomalies 
B)  hospital-acquired conditions 
C)  staph infections 
D)  medical misadventures

Question 6

Since 2001, CMS has published quality initiatives with the intent of supporting quality health care through:

Accepted Answer

A)  Claims denial. 
B)  Ancillary incentives. 
C)  Public disclosure. 
D)  Threat of imprisonment. 
A)  Claims denial. 
B)  Ancillary incentives. 
C)  Public disclosure. 
D)  Threat of imprisonment.

Question 7

The ten categories of HACs for which Medicare will not reimburse include:

Accepted Answer

A)  Non-catheter-associated UTI. 
B)  Diabetes mellitus. 
C)  Stage IV pressure ulcer. 
D)  Cerebrovascular accident (CV
A) . 
A)  Non-catheter-associated UTI. 
B)  Diabetes mellitus. 
C)  Stage IV pressure ulcer. 
D)  Cerebrovascular accident (CV
A) .

Question 8

Research studies provide statistical evidence as to which services, procedures, treatments, and policies work best. This is known as:

Accepted Answer

A)  Quality Practices and Procedures (QPP). 
B)  Evidence-based medicine (EBM). 
C)  National Guideline Clearinghouse (NG
C) . 
D)  Interventions and Practices Considered (IP
C) . 
A)  Quality Practices and Procedures (QPP). 
B)  Evidence-based medicine (EBM). 
C)  National Guideline Clearinghouse (NG
C) . 
D)  Interventions and Practices Considered (IP
C) .

Question 9

Case fatality percentage can be determined by dividing which of the following by the total number of patients who have been diagnosed with that same condition within a specific period of time?

Accepted Answer

A)  The total number of patients who died due to a specific condition 
B)  The total number of patients who were treated for a specific condition 
C)  The total number of patients who have a family history of a specific condition 
D)  The total number of patients found to have a genetic potential for a specific condition 
A)  The total number of patients who died due to a specific condition 
B)  The total number of patients who were treated for a specific condition 
C)  The total number of patients who have a family history of a specific condition 
D)  The total number of patients found to have a genetic potential for a specific condition

Question 10

As part of the Hospital Quality Initiative, CMS created:

Accepted Answer

A)  A toll-free hotline. 
B)  EMTALA. 
C)  Hospital Compare. 
D)  HIPAA. 
A)  A toll-free hotline. 
B)  EMTALA. 
C)  Hospital Compare. 
D)  HIPAA.

Question 11

All applicant physicians should be checked on the ________ before hiring or granting privileges to treat patients in your facility.

Accepted Answer

A)  medical school website 
B)  National Practitioner Data Bank (NPD
B)  
C)  Physician Quality Reporting System (PQRS) 
D)  American Medical Association website 
A)  medical school website 
B)  National Practitioner Data Bank (NPD
B)  
C)  Physician Quality Reporting System (PQRS) 
D)  American Medical Association website

Question 12

One of the first determinations required to support performing a test or procedure on a patient is called:

Accepted Answer

A)  Medical necessity. 
B)  Cause and effect. 
C)  Probable cause. 
D)  Catalyst. 
A)  Medical necessity. 
B)  Cause and effect. 
C)  Probable cause. 
D)  Catalyst.

Question 13

The nine quality improvement strategies identified by AHRQ include:

Accepted Answer

A)  Ignoring patient complaints. 
B)  Financial penalties for poor performance. 
C)  Mandating overtime to provide more patient hours. 
D)  Continuing education for clinicians. 
A)  Ignoring patient complaints. 
B)  Financial penalties for poor performance. 
C)  Mandating overtime to provide more patient hours. 
D)  Continuing education for clinicians.

Question 14

A physician's credential may be:

Accepted Answer

A)  Ph.D. 
B)  RN. 
C)  M.D. 
D)  PT. 
A)  Ph.D. 
B)  RN. 
C)  M.D. 
D)  PT.

Question 15

The Patient Experience of Care domain accounts for ________ of the total performance score (TPS).

Accepted Answer

A)  30% 
B)  50% 
C)  65% 
D)  85% 
A)  30% 
B)  50% 
C)  65% 
D)  85%

Question 16

The term used to identify those patients who must be returned to inpatient status in a hospital for the same reason as the previous admission is:

Accepted Answer

A)  Secondary conditions. 
B)  Manifestations. 
C)  Readmissions. 
D)  Resubmissions. 
A)  Secondary conditions. 
B)  Manifestations. 
C)  Readmissions. 
D)  Resubmissions.

Question 17

All of the following are measured for quality of care by Hospital Compare, except:

Accepted Answer

A)  Timely and effective care for patients with AMI. 
B)  Number of Medicaid patients. 
C)  Use of surgical techniques. 
D)  Spending per hospital patient with Medicaid. 
A)  Timely and effective care for patients with AMI. 
B)  Number of Medicaid patients. 
C)  Use of surgical techniques. 
D)  Spending per hospital patient with Medicaid.

Question 18

All clinicians are required by law to accurately document the complete details of every patient encounter and patient-related encounter, including:

Accepted Answer

A)  Patient's education level. 
B)  Patient's salary. 
C)  Patient's reason for the encounter. 
D)  Patient's complete health history. 
A)  Patient's education level. 
B)  Patient's salary. 
C)  Patient's reason for the encounter. 
D)  Patient's complete health history.

Question 19

Which of the following statements regarding the Patient Experience of Care survey is false?

Accepted Answer

A)  A facility may add questions to the original questions. 
B)  The survey asks about communication with physicians. 
C)  There are 50 questions in the CMS survey. 
D)  Patients are asked about the cleanliness of the hospital. 
A)  A facility may add questions to the original questions. 
B)  The survey asks about communication with physicians. 
C)  There are 50 questions in the CMS survey. 
D)  Patients are asked about the cleanliness of the hospital.

Question 20

As an administrator, you will need to assess the:

Accepted Answer

A)  Cost of new technology. 
B)  True need for new equipment. 
C)  Both A and B 
D)  Neither A or B 
A)  Cost of new technology. 
B)  True need for new equipment. 
C)  Both A and B 
D)  Neither A or B

CMS identifies one private organization in each state to review the provision of health care services and to respond to complaints. These organizations are called:

A claim that a physician is board-certified should be confirmed with the:

Internal audits can improve the quality of care provided in your facility by:

A type of process that reduces the probability of adverse events is known as:

Nosocomial conditions, also known as ________, are those illnesses and injuries that affect a patient as a direct result of the patient's stay in the hospital.

Since 2001, CMS has published quality initiatives with the intent of supporting quality health care through:

The ten categories of HACs for which Medicare will not reimburse include:

Research studies provide statistical evidence as to which services, procedures, treatments, and policies work best. This is known as:

Case fatality percentage can be determined by dividing which of the following by the total number of patients who have been diagnosed with that same condition within a specific period of time?

As part of the Hospital Quality Initiative, CMS created:

All applicant physicians should be checked on the ________ before hiring or granting privileges to treat patients in your facility.

One of the first determinations required to support performing a test or procedure on a patient is called:

The nine quality improvement strategies identified by AHRQ include:

A physician's credential may be:

The Patient Experience of Care domain accounts for ________ of the total performance score (TPS).

The term used to identify those patients who must be returned to inpatient status in a hospital for the same reason as the previous admission is:

All of the following are measured for quality of care by Hospital Compare, except:

All clinicians are required by law to accurately document the complete details of every patient encounter and patient-related encounter, including:

Which of the following statements regarding the Patient Experience of Care survey is false?

As an administrator, you will need to assess the:

The Balance of Good Administration

Types of Facilities and Services

Financing the Provision of Care

Workplace Safety

Health Care Technology

Institutional Food Services

Compliance Plans

Strategic Planning

Risk Management

Crisis Management

Performance Improvement

Audits and Inspections

Legal and Ethical Issues

Health Care Marketing, Advertising, and Public Relations

Filters

Exam 4: Quality of Care

CMS identifies one private organization in each state to review the provision of health care services and to respond to complaints. These organizations are called:

A claim that a physician is board-certified should be confirmed with the:

Internal audits can improve the quality of care provided in your facility by:

A type of process that reduces the probability of adverse events is known as:

Nosocomial conditions, also known as ________, are those illnesses and injuries that affect a patient as a direct result of the patient's stay in the hospital.

Since 2001, CMS has published quality initiatives with the intent of supporting quality health care through:

The ten categories of HACs for which Medicare will not reimburse include:

Research studies provide statistical evidence as to which services, procedures, treatments, and policies work best. This is known as:

Case fatality percentage can be determined by dividing which of the following by the total number of patients who have been diagnosed with that same condition within a specific period of time?

As part of the Hospital Quality Initiative, CMS created:

All applicant physicians should be checked on the ________ before hiring or granting privileges to treat patients in your facility.

One of the first determinations required to support performing a test or procedure on a patient is called:

The nine quality improvement strategies identified by AHRQ include:

A physician's credential may be:

The Patient Experience of Care domain accounts for ________ of the total performance score (TPS).

The term used to identify those patients who must be returned to inpatient status in a hospital for the same reason as the previous admission is:

All of the following are measured for quality of care by Hospital Compare, except:

All clinicians are required by law to accurately document the complete details of every patient encounter and patient-related encounter, including:

Which of the following statements regarding the Patient Experience of Care survey is false?

As an administrator, you will need to assess the:

The Balance of Good Administration

Types of Facilities and Services

Financing the Provision of Care

Workplace Safety

Health Care Technology

Institutional Food Services

Compliance Plans

Strategic Planning

Risk Management

Crisis Management

Performance Improvement

Audits and Inspections

Legal and Ethical Issues

Health Care Marketing, Advertising, and Public Relations

Filters